| NPI | 1255518791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002410A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 20080000536) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2015-01-27 |