| NPI | 1225709439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301011157) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MI 5402000309) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-12-10 |