| NPI | 1710230958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR0007037) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010655) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2018-06-11 |