| NPI | 1154821015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0008072) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13742) |
| 111N00000X Chiropractor (Licence: KS 01-05886) | |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2022-09-22 |