| NPI | 1063676120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4840) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6781) |
| 111N00000X Chiropractor (Licence: MI 2301009484) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2018-03-17 |