| NPI | 1477918357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3119) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2474) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2018-12-31 |