| NPI | 1326030115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4136) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3805) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2021-09-15 |