| NPI | 1588157697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6976) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 1022) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-02-05 |