| NPI | 1629321062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 7039) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1737) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2013-10-15 |