| NPI | 1831521582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009096) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010244) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2014-08-11 |