| NPI | 1205867033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3679) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009068) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-10-02 |