| NPI | 1255337937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3257) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3191) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-01-29 |