| NPI | 1861412199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5213) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008004) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-12-05 |