| NPI | 1457766834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TN 2722) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2722) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2018-03-17 |