| NPI | 1225245061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: WA MA00014936) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00001342) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |