| NPI | 1750569521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6352) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1505) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2009-11-02 |