| NPI | 1699469379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6085-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 7119) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |