| NPI | 1912998055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4597) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26201) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |