| NPI | 1164479580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4757) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002256A) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-10-22 |