| NPI | 1134129141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7846) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29300) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2009-08-25 |