| NPI | 1104512961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6079-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 6079-12) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-24 |