| NPI | 1962722447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301011132) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH 60147311) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2025-04-10 |