| NPI | 1477110146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9216) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2019015878) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-09-15 |