| NPI | 1194063347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2601) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: TN 2601) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-03-08 |