| NPI | 1285443077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2024014455) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.014130) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |