| NPI | 1245944719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06276) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2023001012) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-08-24 |