| NPI | 1609296748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5913) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3472) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |