| NPI | 1780380097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2024027021) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557891) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-09-27 |