| NPI | 1649538877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6257) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008949) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2016-09-30 |