| NPI | 1922043090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4073) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 000756) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |