| NPI | 1629343058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 9777) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4534-012) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2022-07-21 |