| NPI | 1609844877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 9874999-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5385) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-02-10 |