| NPI | 1245369917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1103) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2170) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-08-31 |