| NPI | 1801186358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6719) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008805) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2012-09-28 |