| NPI | 1851999809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3489) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2664) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-09-15 |