| NPI | 1750682878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60187499) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA 1425) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2012-08-02 |