| NPI | 1194483420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2021031355) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MO 2021031355) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2021031355) | |
| 111NR0200X Chiropractor, Radiology (Licence: MO 2021031355) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-07-13 |