| NPI | 1215975032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009540) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA dc002969L) |
| 111N00000X Chiropractor (Licence: DC CH030108) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-02-15 |