| NPI | 1134311350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301006150) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4219) |
| 111N00000X Chiropractor (Licence: OH 2256) | |
| 111N00000X Chiropractor (Licence: SC 1814) | |
| 111N00000X Chiropractor (Licence: GA 5165) | |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2021-10-04 |