| NPI | 1184784092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04746) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: KS 01-04746) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-11-02 |