| NPI | 1194076281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KS T-03462) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2001005092) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |