| NPI | 1083915375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 4500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008743) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2022-07-21 |