| NPI | 1023068285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273546) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60333457) |
| 133N00000X Nutritionist (Licence: WA NU60366300) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-07-09 |