| NPI | 1235320581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4990) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2010024745) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2010-11-28 |