| NPI | 1962779801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5328) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2554) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2024-02-01 |