| NPI | 1477086486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5271-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 086694) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2019-04-04 |