NPI | 1750457156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3928-012) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4140) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2013-01-28 |