| NPI | 1306359252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5863) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: OR 5863) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |