| NPI | 1003281775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 080557) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 514012) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |