| NPI | 1356333447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4674-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 1087) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-06-10 |