| NPI | 1720262702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60070039) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-30447) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2009-03-31 |