| NPI | 1700103074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05762) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32905) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2016-01-20 |