| NPI | 1821150756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NM 1318) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CO 4766) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC-29335) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-03-10 |