| NPI | 1750979415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301011040) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15003) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-01-24 |