| NPI | 1689896128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3679) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 24192) |
| 171100000X Acupuncturist (Licence: OR AC171449) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-06-14 |