| NPI | 1265979272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002960A) |
| Additional Taxonomies | 111NR0400X (Licence: IN 08002960A) |
| 111NS0005X Chiropractor, Sports Physician (Licence: IN 08002960A) | |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |