| NPI | 1972074854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO CHR.0007696) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007696) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |