| NPI | 1568704195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61009274) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2350) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-05-20 |