| NPI | 1174577233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034320) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 273037) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-09 |