| NPI | 1780260752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401495) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2690) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-09-05 |