| NPI | 1740822444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO10635) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010884) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-02-07 |