| NPI | 1326144775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3872) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC0000002116) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-02-21 |