| NPI | 1033629795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: OR 5854) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5854) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2023-12-01 |