| NPI | 1609054030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 5340) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WI 4346) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-09-26 |