| NPI | 1407835762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4636) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY KY1418) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-06-22 |