| NPI | 1235211939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8602) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001662) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-04-11 |