| NPI | 1811976624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007237) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4612) |
| 111N00000X Chiropractor (Licence: OH 1543) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2017-02-23 |