| NPI | 1215314224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6258) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 19822) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-07-19 |