| NPI | 1437349834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2268) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 10065) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-08-26 |