| NPI | 1770090425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020040059) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5560) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-03-12 |