| NPI | 1790080778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA MA60199615) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60199615) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2013-09-24 |