| NPI | 1487608147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2317) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00250) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-07-31 |