| NPI | 1598715336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5133) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 705) |
| 111N00000X Chiropractor (Licence: MN 4665) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-11-08 |