| NPI | 1003354846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR0007550) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009680) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-02 |