| NPI | 1497513113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2024000677) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 6176-12) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-08-01 |