| NPI | 1841413812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00351) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 1670) | 
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2009-01-30 |