| NPI | 1366057911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 274910) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06075) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-02-03 |