| NPI | 1407082951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6668) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009572) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2011-08-10 |