| NPI | 1881746121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC205) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 1291) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |