| NPI | 1417909425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5757) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WY 767) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-12-15 |