| NPI | 1568799773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015038600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8349) |
| 111N00000X Chiropractor (Licence: NY X011694) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2018-01-19 |