| NPI | 1891963211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007895) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3383) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |