| NPI | 1356589477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60058655) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA 1349) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2013-11-20 |