| NPI | 1952552119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2301) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TN 2301) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-07-19 |