| NPI | 1417066572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6139) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 24851) |
| 111N00000X Chiropractor (Licence: CA DC24851) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-12-05 |