| NPI | 1407498439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6310) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 25095) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-06-02 |