| NPI | 1124172887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3875) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011454-1) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-08-18 |