| NPI | 1134743792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5731) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6746) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-04-16 |