| NPI | 1134550080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60438775) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0007055) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-04-27 |