| NPI | 1093713711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MN 3532) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 411) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-09 |