NPI | 1124806294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2023035399) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2023035399) |
111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2023035399) | |
Enumeration Date | 2023-09-19 |
Last Update Date | 2023-09-19 |