| NPI | 1346892684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4890) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010814) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-07-28 |