| NPI | 1639342173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4205-012) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: WI 4205-012) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WI 4205-12) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2021-02-25 |