| NPI | 1730209800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61118138) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11625) |
| 111N00000X Chiropractor (Licence: IL 038010885) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-12-31 |