| NPI | 1801935689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033732) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2013) |
| 111N00000X Chiropractor (Licence: MD 01700) | |
| 111N00000X Chiropractor (Licence: NY 011513-1) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-05-23 |