| NPI | 1245529593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5865) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM DC2159) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2024-10-03 |