| NPI | 1174933055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4495) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5918) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2018-03-17 |