| NPI | 1467764936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2010018713) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05335) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-01-20 |