| NPI | 1851350003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5166-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 06842) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-11-07 |