| NPI | 1851495840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 230101064) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 1132) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-06-16 |