| NPI | 1013374941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16123) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2922) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2017-01-03 |