| NPI | 1942226048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 7287) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3703-012) |
| 111N00000X Chiropractor (Licence: CO 007287) | |
| 111N00000X Chiropractor (Licence: CO 0007287) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-04-17 |