| NPI | 1841890704 |
|---|---|
| Former Name | BEKAH PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 1191) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0008277) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-10-10 |