| NPI | 1538257548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 4414) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4078) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-20 |