| NPI | 1871255471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 35087) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |