| NPI | 1952695173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5539) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2014-08-04 |