| NPI | 1295720373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60263620) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1446) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2019-01-16 |