| NPI | 1609232289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner (Licence: MO 2016000891) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2016000891) |
| 111NI0013X Chiropractor Independent Medical Examiner (Licence: KS 01-05811) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-05-22 |