| NPI | 1073817169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5463) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-6633) |
| 171100000X Acupuncturist (Licence: MN 922) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2019-05-03 |