| NPI | 1144627597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5994) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-03-29 |