| NPI | 1255938981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5710-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6758) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-04-22 |