| NPI | 1962240168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003489A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301401480) |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2025-06-09 |