| NPI | 1912049412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8425) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 6014) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-02-13 |