| NPI | 1770626681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301007022) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-04-08 |