| NPI | 1598472656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61397382) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 6249) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-12-24 |