| NPI | 1407876964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002530) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00000532) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |