| NPI | 1528246378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2007032058) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 5126) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |