| NPI | 1639751688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401467) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 1050) |
| 111N00000X Chiropractor (Licence: FL CH13202) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-01-03 |