| NPI | 1922165851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034715) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 272946) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-01-20 |