| NPI | 1457332371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 1951) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5104) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-10-26 |