| NPI | 1740465939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2491) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7883) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2021-06-09 |