| NPI | 1609933555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 3881) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 140) |
| 225100000X Physical Therapist (Licence: AZ 2257) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-06-27 |