| NPI | 1003113226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011000036) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05379) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-09-12 |