| NPI | 1578012951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6192) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MN 985972) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |