| NPI | 1497940068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 077869) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5711) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2020-06-09 |