| NPI | 1780128561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5550-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1304) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-07-27 |