| NPI | 1366835746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 60566686) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60256871) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2016-01-08 |