| NPI | 1649484312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011331) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6058) |
| 111N00000X Chiropractor (Licence: NM 1757) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-07-22 |