| NPI | 1245444108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A05956) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3652) |
| 111N00000X Chiropractor (Licence: NM 1367) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-05-19 |