| NPI | 1235258815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033862) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: WA CH00033862) |
| 111NR0200X Chiropractor Radiology (Licence: WA CH00033862) | |
| 111NT0100X Chiropractor Thermography (Licence: WA CH00033862) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-05-19 |