| NPI | 1124801394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-8734) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6955) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-05-17 |