| NPI | 1518330927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 079681) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2017-02-03 |