| 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 |