| NPI | 1932598687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4016) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 8530) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2016-12-01 |