| NPI | 1457500290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2008028550) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2010-03-25 |