| NPI | 1972051290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6181) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21972) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-11-30 |