| NPI | 1841477627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5192) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4376-12) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2013-03-07 |