| NPI | 1740836394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH.61477396) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23030) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-10-04 |