| NPI | 1700592714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020031685) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO P-15147) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |