| NPI | 1962827030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60890179) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: CA 32737) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2020-01-21 |