| NPI | 1477930279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557459) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007286) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-03-12 |