| NPI | 1760520480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033761) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC 00000559) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |