| NPI | 1417156340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR0008503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 1039) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-12-22 |