NPI | 1821454448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009629) |
Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: GA CHIR009629) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2024-07-03 |