| NPI | 1578780698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007295) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4570) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-04-12 |