| NPI | 1710258629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04186) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 6184) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |