| NPI | 1629313192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05718) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32219) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2022-03-08 |