| NPI | 1881982767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA TT60941893) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11804) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2019-03-20 |