| NPI | 1023086667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008171) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008885) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-03-16 |