| NPI | 1194115352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: MI 2301010450) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2015001860) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2016-07-21 |