| NPI | 1639700909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 108224) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2020002798) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-10-30 |