| NPI | 1659472710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2100) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301007442) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-09-27 |