| NPI | 1386045953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CO CHR0007226) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0007226) |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2018-03-28 |