| NPI | 1952501587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034785) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI DC 1018) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2007-07-22 |