| NPI | 1497013171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5668) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-09-27 |