| NPI | 1689113649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5786) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: OR 5786) |
| 111NS0005X Chiropractor Sports Physician (Licence: OR 5786) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-08-08 |