| NPI | 1487768065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2349) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 2214-12) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-09 |