| NPI | 1376819219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009599) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI L1646945) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-09-10 |