| NPI | 1043254279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 03544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5162) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-11-10 |