| NPI | 1790065746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008779) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2013-01-25 |