| NPI | 1346385796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034033) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH00034033) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |