| NPI | 1558928952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008230) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010821) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-12-07 |