| NPI | 1336852409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6475) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 24202) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-11-20 |