| NPI | 1871669846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005960) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI CW005960) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-06-22 |