| NPI | 1538122387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007499) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO EL2786568) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-12-21 |