| NPI | 1174849913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4602-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4602-012) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2018-12-27 |