| NPI | 1982355491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2022000505) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0011102) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2024-02-05 |