| NPI | 1215077524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034247) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27841) |
| 171100000X Acupuncturist (Licence: WA AC00002534) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |