| NPI | 1922025352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6795) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009180) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-11-09 |