| NPI | 1871799981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8146) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6035) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-07-26 |