| NPI | 1760772982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 2312) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 2957) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |