| NPI | 1922348549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008737) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2433) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2015-02-18 |