| NPI | 1336466184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020029831) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 32132) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2022-04-14 |