| NPI | 1639492069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12423) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60138053) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2014-03-05 |