| NPI | 1831853894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6189) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH61224581) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-11-29 |