| NPI | 1093804494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1582) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 3627) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-02-22 |