| NPI | 1356400824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2151) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIROO7953) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-07-03 |