| NPI | 1144618638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1340) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6028) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2019-04-04 |