| NPI | 1497853295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7894) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011337-1) |
| 111NR0400X (Licence: AZ 4582) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-11-08 |