| NPI | 1386902526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F10000830) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 487912) |
| 111N00000X Chiropractor (Licence: IL 038012164) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2015-01-07 |