| NPI | 1508047937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001694) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 001694) |
| 111N00000X Chiropractor (Licence: NY x011385-1) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2019-09-24 |