| NPI | 1417394008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007278) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00708700) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2015-05-12 |