| NPI | 1265600993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009914) |
| Additional Taxonomies | 111NR0400X (Licence: IL 038011079) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2023-04-03 |