| NPI | 1386677888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3906-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2436) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2016-12-05 |