| NPI | 1851646186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2607) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5368) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2015-01-07 |