| NPI | 1528448685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2859) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1245) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-09-02 |