| NPI | 1396946851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3027) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-27 |