| NPI | 1821114893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005043) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25366) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-03-17 |