| NPI | 1609935907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5342) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 404) |
| 225100000X Physical Therapist (Licence: AZ 3034) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |