| NPI | 1629484183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007195) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002791A) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2014-10-12 |