| NPI | 1043639479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60516603) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012598) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-10-15 |