| NPI | 1336325562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7881) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4570) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-11-23 |