| NPI | 1154693059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6957) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4841-12) |
| 111N00000X Chiropractor (Licence: MN 5623) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2020-10-26 |