NPI | 1215258850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6042) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4625-012) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2019-05-23 |