| NPI | 1598002156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 7698) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5721) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IA 7698) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2024-11-01 |