NPI | 1710479977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007846) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO CHR.0007846) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-06-04 |