| NPI | 1467099309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5207-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-5022) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-12-19 |