| NPI | 1295090900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2561) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: TN 2561) |
| 111NN1001X Chiropractor, Nutrition (Licence: TN 2561) | |
| 111NR0400X (Licence: TN 2561) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-09-20 |