| NPI | 1164013751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007561) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CO 0007561) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-08-01 |