| NPI | 1457008369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020029511) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038013634) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-05-10 |