| NPI | 1982803441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 6296) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA 6296) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |