| NPI | 1124485305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 61112770) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5710) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-12-29 |