| NPI | 1396844916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1715) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 2045) |
| 111N00000X Chiropractor (Licence: WA 1442) | |
| 171100000X Acupuncturist (Licence: MN 632) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |