| NPI | 1497257646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007678) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 04834) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2019-09-03 |