| NPI | 1730537127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007539) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05806) |
| 111NN1001X Chiropractor Nutrition (Licence: KS 01-05806) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: CO CHR.0007539) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-11-29 |