| NPI | 1245828151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3567) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013655) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-05-16 |