| NPI | 1619487634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007627) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05849) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |