| NPI | 1891005682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05370) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6014) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2011-07-06 |