| NPI | 1083758569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1382) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5417) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-12-30 |