| NPI | 1578603379 |
|---|---|
| Former Name | PAULA KOLTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 958) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 3820) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-01-02 |