| NPI | 1154918662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 05032) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 5030) |
| 111NN1001X Chiropractor Nutrition (Licence: OH 5030) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2025-07-30 |