| NPI | 1366462848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 2204) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: WA 2204) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-03-05 |