| NPI | 1770025934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13249) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007242) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-12-12 |