| NPI | 1851346175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002905) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: WA 3697) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-03-03 |