| NPI | 1992658975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6369-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2026000609) |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-02-18 |