| NPI | 1669439535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 249362) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5224) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-12-12 |