| NPI | 1033302278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7847) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: AZ 7847) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2009-09-16 |