| NPI | 1063155687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401373) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4727) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-05-31 |