| NPI | 1528275674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2835) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: IA 3677) |
| 225700000X Massage Therapist (Licence: OR 3322) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |