| NPI | 1467919431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61048639) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5939) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-10-07 |