| NPI | 1649967761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2023008676) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2023008676) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-04-19 |