| NPI | 1356389969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4721-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4760) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-02-28 |