| NPI | 1578541843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2734) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 106) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-01-10 |