| NPI | 1043677487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4651) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 081064) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2017-02-22 |