| NPI | 1407930845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2167) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: MN 2167) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |