| NPI | 1417146598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5303-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29062) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2018-07-03 |