| NPI | 1477196384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34654) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301401567) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-06-12 |