| NPI | 1992730964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4387) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4049-012) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-01-08 |