| NPI | 1073748273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8118) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008451) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2010-05-17 |