| NPI | 1356856330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2017004892) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: MO 2017004892) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-01-18 |