| NPI | 1306409214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6686) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007962) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-09-01 |