| NPI | 1861506297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3700) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: OK 3700) |
| 111NN0400X Chiropractor, Neurology (Licence: OK 3700) | |
| 111NR0200X Chiropractor, Radiology (Licence: OK 3700) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: OK 3700) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: OK 3700) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: OK 3700) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-08-29 |