NPI | 1750622395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5821) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 6420) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2022-07-21 |