| NPI | 1538633664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH61614560) |
| Additional Taxonomies | 122400000X Denturist (Licence: WA DN60543719) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2025-05-06 |