| NPI | 1265560155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36389) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301007940) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-10-09 |