| NPI | 1639327109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC0000002461) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006886) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2011-01-04 |