| NPI | 1790168003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2023009810) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014041515) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-04-21 |