| NPI | 1477750107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4319-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10204) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2015-04-27 |