| NPI | 1154810414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5343) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6505) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |