| NPI | 1477866002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009685) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008726) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2010-12-07 |