| NPI | 1407144223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CO 1609) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 1609) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |