| NPI | 1639375710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CO 2801) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 2801) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CO 2801) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |