| NPI | 1932781895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010252) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3220) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-05-07 |