| NPI | 1972584449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 272702) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00220) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |