| NPI | 1891032249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05361) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2010038955) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2015-09-08 |