NPI | 1184889438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA MA00011165) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC00000566) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2020-03-04 |