| NPI | 1033500913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015008738) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0105676) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2016-07-26 |