| NPI | 1477665701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3284) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: MN 3284) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-01-30 |