| NPI | 1972509248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4352) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 670) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |