| 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 |