| NPI | 1124717749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2024039098) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013715) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-03-19 |