| NPI | 1245618420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5471) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1234) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2016-02-15 |