| NPI | 1174538516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2006012228) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2007004043) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-11-21 |