| NPI | 1518587989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6077) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 24084) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2024-05-20 |