| NPI | 1750524906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009727) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008465) |
| 111N00000X Chiropractor (Licence: SC 3441) | |
| 111N00000X Chiropractor (Licence: CO 6628) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2011-11-23 |