| NPI | 1609956739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 25548) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301007371) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |