| NPI | 1619990199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5908) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7051) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-10-10 |