| NPI | 1447873617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 22296201057) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34376) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-12-05 |