| NPI | 1962732669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009588) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2009039698) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2021-05-17 |