| NPI | 1144420803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4329) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-05-31 |