| NPI | 1578775425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5063) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2005012999) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-08-08 |