| NPI | 1295971679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5779) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4431-012) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-11-04 |