| NPI | 1013208701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003102A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009787) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MI 2301009787) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-11-28 |