| NPI | 1265583280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2868) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1004) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-12-13 |