| NPI | 1821363193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2012002918) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2020-12-21 |