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 |