| NPI | 1114165891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034687) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU00001972) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |