| NPI | 1376926212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05738) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2015022046) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-10-16 |