| NPI | 1861662983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 8380225-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05187) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2013-02-13 |