| NPI | 1265844542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012940) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010147) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2018-03-17 |