| NPI | 1104368596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007527) |
| Additional Taxonomies | 111NR0400X (Licence: CO EL.2786593) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-12-06 |