| NPI | 1588058812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015005922) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05688) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2016-07-27 |