| NPI | 1083207146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301011156) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X01342401) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-01-25 |