| NPI | 1972204832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO10792) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 14172) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |