| NPI | 1902455397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3262) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2617) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-01-28 |