| NPI | 1417251646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1168) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2457) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2014-08-13 |