| NPI | 1861105090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 7044) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2026-01-22 |