| NPI | 1164096996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4848) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301011125) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2022-10-04 |