| NPI | 1922269745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 2403) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 1919) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |