| NPI | 1114553443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2021042982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008180) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2021-12-21 |