NPI | 1619271590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5608) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13333) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2015-03-16 |