| NPI | 1851378376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4006) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 862) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-01-11 |