| NPI | 1003191362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010165) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002607A) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2014-01-22 |