| NPI | 1902975253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 2331) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 4812) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |