| NPI | 1689739567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5290) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 2990) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-06-12 |