| NPI | 1316058506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A06225) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3764012) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-11-18 |