| NPI | 1790828010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60023832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA CA29986) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-07-03 |