| NPI | 1316410368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5664-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60892858) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2024-05-07 |