| NPI | 1063167195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06175) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2022000957) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |