| NPI | 1114465507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007766) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2527) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-04-19 |