| NPI | 1174852578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI DC-1209) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-6454) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2012-10-18 |