| NPI | 1912154352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3855) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60886437) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2025-08-26 |