| NPI | 1255586426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO chr-5873) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4797) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |