| NPI | 1649644766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015033522) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05752) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-05-04 |