| NPI | 1730221144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2000148380) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-02-28 |