| NPI | 1689028284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06131) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02421) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-07-28 |