| NPI | 1609968262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 4268) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 727) |
| 111N00000X Chiropractor (Licence: MO 6397) | |
| 111N00000X Chiropractor (Licence: OK 3316) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |