| NPI | 1679815153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60419778) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5613) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2015-05-20 |