| NPI | 1518130632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04923) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2004026171) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |