| NPI | 1235423674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5487) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1386) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2014-04-10 |