| NPI | 1063782852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0006796) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-6796) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2017-10-24 |