| NPI | 1245298348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH00034444) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034444) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-01-03 |