| NPI | 1194065029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61516760) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60257333) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2024-05-29 |