| NPI | 1780206243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61116941) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010358) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-12-09 |