| NPI | 1497337265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14519) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301011067) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-02-11 |