| NPI | 1679027098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5768) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22330) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-05-13 |