| NPI | 1962632562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008486) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO08684) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-04-26 |