| NPI | 1871031096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 7060) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: OR 6191) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-02-14 |