| NPI | 1922429414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6098) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60434432) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2021-05-05 |