| NPI | 1306239884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60533863) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA CH60533863) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-07-21 |