| NPI | 1164999173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020013408) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4377) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-11-09 |