| NPI | 1356322739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7584) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA WA0003435) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2008-05-20 |