| NPI | 1699887745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 4369) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7685) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-10-14 |