| NPI | 1588977573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5455) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8158) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2011-03-15 |