| NPI | 1699853929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4345-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556339) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-11-02 |