| NPI | 1669728408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012026052) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05704) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2018-09-21 |