| NPI | 1467729574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009969) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32006) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-02-18 |