| NPI | 1487832218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1781) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4677) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2024-04-25 |