| NPI | 1508613217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401498) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 7242) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-05-05 |