| NPI | 1295368108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 2074) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2020005875) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-04-27 |