| NPI | 1629350327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6737) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60620605) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2021-02-24 |