| NPI | 1487870416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7066) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 3742) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |