| NPI | 1033285291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001748) |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health (Licence: WA CH00001748) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |