| NPI | 1841207354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 1997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 0890) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-11-13 |