| NPI | 1295038453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05356) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2013008841) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2013-05-21 |