| NPI | 1174054928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007546) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2023034897) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-01-25 |