| NPI | 1033150362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7862) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: AZ 7862) |
| 111NN1001X Chiropractor Nutrition (Licence: MO 2006002034) | |
| 111NX0800X Chiropractor Orthopedic (Licence: AZ 7862) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-12-23 |