| NPI | 1598921280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4692012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011169) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-04-15 |