| NPI | 1235415498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5605) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60251805) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2015-01-22 |