| NPI | 1659532588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10222) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60765491) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-03-12 |