| NPI | 1083899272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL-9853) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-11-10 |