NPI | 1336466267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4640-12) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5383) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2016-07-26 |