| NPI | 1891177408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6068) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2015007612) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-01-18 |