| NPI | 1952487498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 2583) |
| 111N00000X Chiropractor (Licence: CO 2884) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-09-12 |