| NPI | 1982980504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC23002) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4161) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2024-04-02 |