| NPI | 1386274629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020002619) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038013540) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2024-06-25 |