| NPI | 1710204722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC0000002469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008546) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-06-14 |