| NPI | 1811469869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5426) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 542612) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2025-01-29 |