| NPI | 1912344110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3489) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009125) |
| 111N00000X Chiropractor (Licence: MI 2301010093) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-11-27 |