| NPI | 1144380486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2003020627) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29298) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-07-08 |