| NPI | 1053739060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010153) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MI 2301010153) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-09-13 |