| NPI | 1588193809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 0000003070) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8629) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-06-18 |