| NPI | 1083787766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2640-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 2640) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-08-16 |