| NPI | 1811464654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5940) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60895789) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |