| NPI | 1487876579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5055) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 249689) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-21 |