| NPI | 1699191288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 119777) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2820) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2024-05-20 |