| NPI | 1669552576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3036-012) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-03-01 |