| NPI | 1700661170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61457177) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 117337) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |