| NPI | 1275248114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008715) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301401372) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-08-23 |