| NPI | 1700941564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO DRC004909) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0104883) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |