| NPI | 1528557196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3616) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4904) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-11-24 |