| NPI | 1578269676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401268) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MI 2301401268) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |