| NPI | 1104964907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003128) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 3128) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2022-11-14 |