| NPI | 1164549135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: WA CH00002076) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: OR 2254) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2012-10-04 |