| NPI | 1831556307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6160) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5147-12) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |