| NPI | 1548975006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2023038173) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-8015) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-06-10 |