| NPI | 1558309252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7653) |
| Additional Taxonomies | 111NI0900X Chiropractor Internist (Licence: AZ 7653) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-08-11 |