| NPI | 1295031284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60314300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4129) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WA CH60314300) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-09-12 |