| NPI | 1902021959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2298) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1486) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-12-08 |