| NPI | 1033550637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06340) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2013023222) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-10-16 |