| NPI | 1497007223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8284) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4932) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-12 |