| NPI | 1831291566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008649) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008211) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-03-23 |