NPI | 1194739854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3106) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 3106) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2009-01-06 |