| NPI | 1518242551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11912) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301006991) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2019-05-27 |