| NPI | 1043737067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2017003288) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05833) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-12-12 |