| NPI | 1972611564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2811) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 272811) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-06-28 |