| NPI | 1447550389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2012003317) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2009028139) |
| 111N00000X Chiropractor (Licence: CA 23837) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2014-07-23 |