| NPI | 1235240433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1734) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 04277) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |