| NPI | 1922620004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020016631) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06044) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-12-28 |