| NPI | 1073738662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007347) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 273-0996) |
| 111N00000X Chiropractor (Licence: SC 4250) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-10-22 |