| NPI | 1801362751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9065) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 087991) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2021-05-20 |