| NPI | 1275990780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2016000621) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.012921) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2020-12-15 |