| NPI | 1467505578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3927-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8522) |
| 111N00000X Chiropractor (Licence: CA 27984) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-12-21 |