| NPI | 1679959167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007308) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO EL.2786416) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2016-11-08 |