| NPI | 1033220371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4518) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 4518) |
| 111NN0400X Chiropractor, Neurology (Licence: CO 4518) | |
| 111NR0400X (Licence: CO 4518) | |
| 225000000X Orthotic Fitter (Licence: CO 4518) | |
| 225100000X Physical Therapist (Licence: CO 4518) | |
| 225700000X Massage Therapist (Licence: CO 4518) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-04-02 |