| NPI | 1609289388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014013452) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05624) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2017-01-31 |