| NPI | 1255327961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000843A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI L557711) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-06-23 |