| NPI | 1366906067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4364) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007911) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2024-10-30 |