| NPI | 1790827319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2357) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHO0002896) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-11-02 |