| NPI | 1144201872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008795) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI CB008795) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-10-11 |