| NPI | 1821689639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5762-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 6742) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-02-02 |