| NPI | 1588953152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010071) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 10249) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2013-09-18 |