| NPI | 1902853237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 010839) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |