| NPI | 1457393704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN DC4073) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 586) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-08-08 |