| NPI | 1295340735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401536) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3702) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2025-01-02 |