| NPI | 1972084846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3237) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010103) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-04-07 |