| NPI | 1891284733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6019-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6511) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-05-14 |