| NPI | 1598758070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 2442) |
| 111N00000X Chiropractor (Licence: KS 01-03942) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-04-16 |