| NPI | 1326592700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0008053) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 083396) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-09-26 |