| NPI | 1720141468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7387) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 06462) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2018-06-16 |