| NPI | 1730406547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5586) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CO 5586) |
| 111NN1001X Chiropractor, Nutrition (Licence: CO 5586) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO 5586) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |