| NPI | 1437517521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: MN 5903) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: CA 32550) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |