| NPI | 1124584487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5973) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60922973) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |