| NPI | 1770841363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MI 2301009904) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009904) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2020-07-17 |