| NPI | 1013431253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8942) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 7855) |
| 111N00000X Chiropractor (Licence: MO 2017015756) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2020-07-29 |