| NPI | 1376260810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7023) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0134225) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2026-08-17 |