| NPI | 1891151163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5785) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10672) |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2017-05-22 |