| NPI | 1639200181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4662-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38010309) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-11-29 |