| NPI | 1265526628 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60464407) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-30327) | 
| Enumeration Date | 2006-10-02 | 
| Last Update Date | 2023-02-13 |