| NPI | 1255700779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8672) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33253) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2018-06-19 |