| NPI | 1174949861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014002030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0007097) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2020-09-02 |