| NPI | 1164480448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: OR 27-2662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 27-2662) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-09-17 |