| NPI | 1730244658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5938) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 3541) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |