| NPI | 1497748198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8437) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009439) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-05-04 |