| NPI | 1720485931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5995) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 980) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2025-11-06 |