| NPI | 1265829808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557371) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH 60548645) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-12-20 |