| NPI | 1285001073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5799) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007336) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CO EL.2786437) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-07-31 |