| NPI | 1316358195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4153) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OK L-315242) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-08-26 |