| NPI | 1497703763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008531) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7515) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-10-04 |