| NPI | 1518038777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 7436) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 4122) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-12-28 |