| NPI | 1700562535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5099-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6086) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |