| NPI | 1144548769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5372) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4655-012) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-09-11 |