| NPI | 1063841807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5352-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8352) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2021-09-24 |