| NPI | 1871642181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4497) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556253) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-01-10 |