| NPI | 1851403323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0105319) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010660) |
| 111N00000X Chiropractor (Licence: MO 2010013354) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-10-01 |