| NPI | 1326134057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-03677) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1225) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |