| NPI | 1679047617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008302) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010756) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2021-08-17 |