| NPI | 1013252865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008089) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2017043621) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2020-08-27 |