| NPI | 1548452972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 16899) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 0100223) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2016-10-06 |