| NPI | 1871659649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011005612) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3337) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-09-28 |