| NPI | 1811098056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5019) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034565) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-11-28 |