| NPI | 1831274448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 26465) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-01-31 |