| NPI | 1144715236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6533) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL FL12273) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-09-05 |