| NPI | 1144577875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5382-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011941) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2021-10-19 |