| NPI | 1891988176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0006986) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 111NI0900X Chiropractor Internist (Licence: CO CHR.0006986) | |
| 111NN1001X Chiropractor Nutrition (Licence: CO CHR.0006986) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: CO CHR.0006986) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2013-06-19 |