| NPI | 1245467976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05256) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6364) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2009-08-04 |