| NPI | 1194021543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5701-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5482) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2022-05-02 |