| NPI | 1659665768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32008) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-6670) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-04-12 |