| NPI | 1154868909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2017001197) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2017001197m) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2022-09-22 |