| NPI | 1871686824 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8699)  | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5086)  | 
| Enumeration Date | 2006-10-02 | 
| Last Update Date | 2024-01-10 |