| NPI | 1619334844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0105753) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2015037185) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |