| 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 |