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 |