| NPI | 1316264237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO 2010013424) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2010013424) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2014-09-08 |