| NPI | 1861698797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA170362) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3835) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-04-23 |