| NPI | 1972280881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9301) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301401395) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |