| NPI | 1689389546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06320) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2022050146) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-06-12 |