| NPI | 1811436363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60722826) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012889-1) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2022-09-15 |