| NPI | 1437654423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6644) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34177) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-02-20 |