| NPI | 1407219991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6213-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6177) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-11-26 |