| NPI | 1992166730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61053092) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 081894) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-07-15 |