| NPI | 1386866424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3354) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14086) |
| 111N00000X Chiropractor (Licence: CA 23298) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-06-05 |