| NPI | 1013169564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007449) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 31002) |
| 111N00000X Chiropractor (Licence: HI DC-1228) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-11-09 |