| NPI | 1821026618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5461) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 23694) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-08-16 |