| NPI | 1073873337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36390) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009927) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2026-05-04 |