| NPI | 1306061163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1642) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 193080) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |