| NPI | 1639226905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 7802) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 423) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-09-16 |