| NPI | 1699912899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1699) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NM DC1699) |
| Enumeration Date | 2009-01-10 |
| Last Update Date | 2023-12-26 |