| NPI | 1811022197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273032) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 3230) |
| 225700000X Massage Therapist (Licence: OR 5324) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |