| NPI | 1235397274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60077573) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30595) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-12-10 |