| NPI | 1659519197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6270) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 30892) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-05-12 |