| NPI | 1073075370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH dc-04893) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4424) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-02-09 |