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 |