| NPI | 1487163978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3764) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011000-1) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-12-11 |