| NPI | 1043442858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 0000002311) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: TN 0000002311) |
| 111NN1001X Chiropractor, Nutrition (Licence: TN 0000002311) | |
| 111NR0400X (Licence: TN 0000002311) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-02-21 |