| NPI | 1093815888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5267) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 5267) |
| 111NI0900X Chiropractor, Internist (Licence: CO 5267) | |
| 111NN1001X Chiropractor, Nutrition (Licence: CO 5267) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-05-12 |