| NPI | 1568098408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14939) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010918) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2021-11-24 |