| NPI | 1942518402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4122) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4654-012) |
| 111N00000X Chiropractor (Licence: WI 4654-12) | |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2019-03-11 |