| NPI | 1952675431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: MN 6126) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: MT CHI-CHI-LIC-1817) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2022-07-21 |