| NPI | 1306650163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7309) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 7309) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-06-22 |