| NPI | 1215104278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3904) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01256) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2017-04-25 |