| NPI | 1659699502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: KS 01-05347) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05347) |
| 111N00000X Chiropractor (Licence: NE 1616) | |
| 111NI0900X Chiropractor, Internist (Licence: NE 1616) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2023-07-10 |