| NPI | 1619512944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3732) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 12979) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-10-23 |