NPI | 1093035826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4987-12) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5384) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2018-05-11 |