| NPI | 1982900924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010369) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 4073) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2015-11-10 |