| NPI | 1861762395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60389093) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5022) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2022-07-21 |