| NPI | 1023707130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7116) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 6084-12) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-10-23 |