| NPI | 1497055644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4664-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011760) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2011-04-22 |