| NPI | 1093714198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS C3707) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: KS C3707) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |