| NPI | 1639213887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5444) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-04712) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-11-15 |