| NPI | 1386377208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA61318133) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA MA61318133) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |