| NPI | 1871649814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2835) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3331) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-02-18 |