| NPI | 1184912495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR 0006991) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5420) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2013-11-15 |