| NPI | 1336843564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7099) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 7099) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-05-20 |