| NPI | 1811265986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC2209) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 26251) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2020-07-09 |