| NPI | 1912413691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-2059) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60806853) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2020-11-20 |