| NPI | 1366529554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3958) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MN 3958) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-12-01 |