| NPI | 1982710604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1211) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 19283) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-05-01 |