| NPI | 1770808461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6555) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3434) |
| 111N00000X Chiropractor (Licence: WA CH60202246) | |
| 111N00000X Chiropractor (Licence: NY X011845-1) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2020-04-22 |