| NPI | 1639485279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60502337) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4644-12) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2015-02-18 |