| NPI | 1811198260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4603) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009988) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-06-17 |