| NPI | 1679758064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60959665) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 25265) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2021-09-28 |