| NPI | 1356650576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60540639) |
| Additional Taxonomies | 247200000X (Licence: WA MA00022917) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2015-07-16 |