| NPI | 1922855253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3739) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1380) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-06-15 |