| NPI | 1942387113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4460) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 699) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-09 |