| NPI | 1669253043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2024047272) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008597) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-12-09 |