| NPI | 1518330034 |
|---|---|
| Former Name | MARY LORAN MAKENZIE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010430) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2015013420) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2022-03-25 |