| NPI | 1174182372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557582) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3198) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |