| NPI | 1407140833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6759) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 4117) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2012-01-27 |