| NPI | 1457706509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2018043181) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2918) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-03-20 |