| NPI | 1467862466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007134) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-2901) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |