| NPI | 1952821357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34279) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-00007623) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-01 |