| NPI | 1881828192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2009011878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004000520) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |