| NPI | 1629225131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5247) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 807) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-10-21 |