| NPI | 1427645068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008419) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5602-12) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-02-21 |