| NPI | 1518023936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2397) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2006000759) |
| 111NN0400X Chiropractor, Neurology (Licence: TN 2397) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-07-21 |