| NPI | 1013257682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5893) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18150) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2018-02-24 |