| NPI | 1942313093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 836) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4406) |
| 111N00000X Chiropractor (Licence: CO 5461) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-11-14 |