| NPI | 1912415712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3267) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S03965) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2020-09-18 |