| NPI | 1992886790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034005) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: WA CH00034005) |
| 111NN1001X Chiropractor Nutrition (Licence: OR 273264) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-10-12 |