NPI | 1265990501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401548) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12737) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2025-05-05 |