| NPI | 1659391779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3707) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 471) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-04-01 |