| NPI | 1972536423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6102) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5747) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-02-25 |