| NPI | 1063997088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8377) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 5335) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-02-06 |