| NPI | 1851027833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7015) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S04273) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-11-05 |