| NPI | 1326436064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6018) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1076) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-01-12 |