| NPI | 1235452707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009652) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011603) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |