| NPI | 1245856202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5713-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34702) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-05-08 |