| NPI | 1972885275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011013962) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05410) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2015-03-17 |