| NPI | 1821526658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010490) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0117233) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-07-09 |