| NPI | 1326418476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61225248) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5675) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2022-02-01 |