| NPI | 1003071309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8731) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3894) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-09-04 |